| NPI | 1114466570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JAMES SNYDER CEO 717-395-1562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME60410) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14711) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY9106) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW11298) | |
| Enumeration Date | 2017-02-18 |
| Last Update Date | 2017-02-18 |