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 |