| NPI | 1063661585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA C MYERS Member 717-960-0052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA 0S009023L) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2009-03-18 |