| NPI | 1215268941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL EVON BARVINCHACK Owner 717-597-9470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PA DC001177L) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |