| NPI | 1124193313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON L VICKERY President 717-245-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD031004E) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2014-12-08 |