| NPI | 1093912107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN R GOSHORN Partner 717-262-2183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 323600) |
| Additional Taxonomies | 101Y00000X Counselor |
| 251S00000X | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2019-06-13 |