| NPI | 1255797551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY DOLAN Director 717-419-2756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44sco5540000) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |