| NPI | 1144559097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MYRLE WHEELER Director 717-892-1547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2009-12-23 |