| NPI | 1104226117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK SAMUEL BENNER General Partner 717-320-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: PA 447028) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |