| NPI | 1124249503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS NORMAN CHEN Director 717-757-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: PA MD051305L) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD-051305-L) |
| 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: PA MD-051305-L) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |