| NPI | 1003319641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BLAKE DEMATTEO Owner 717-682-8215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008154) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-19 |