| NPI | 1134785462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA KATHLEEN TAUZIN Licensed Professional Counselor 717-373-1743 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |