| NPI | 1184776247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYNE NEIL BUSHONG Owner 717-299-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: PA DC007214-L) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-01-29 |