| NPI | 1164120614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE MARIE MEDINA President, Founder 717-300-8152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-02-22 |