| NPI | 1124391560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN M. GRANSEE Owner 717-509-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS-015106) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |