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 |