| NPI | 1205967759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERN ROBERTA WILCOX Executive Director 717-230-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 227077) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2015-06-09 |