| NPI | 1255106134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL SWANSON Director 717-640-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |