| NPI | 1003281908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE R SPONSELLER Director Of Operations 717-515-5493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: PA 677082) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |