| NPI | 1104603372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY MARIE DAMPIER Owner 717-975-7386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2024-01-31 |