| NPI | 1043517493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NITIN V SHETH Owner 717-953-9571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA MD037225-E) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA MD037225-E) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2015-08-18 |