| NPI | 1053372417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID S JOBE Administrator 717-545-1427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD048681L) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-08-22 |