| NPI | 1013479211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE NEWKAM Licensed Professional Counselor 717-421-3520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |