| NPI | 1124598164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA WILLIAMS Owner 717-312-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2018-12-03 |