| NPI | 1245447432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH L SALEM Clinical Director 717-236-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: PA PC002367) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: PA #1161) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-03-06 |