| NPI | 1174525661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE A FAKE Administrator 717-637-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: PA 01681500) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2010-03-19 |