| NPI | 1265778187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY MCKINNEY Registered Dietitian 717-576-6305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PA DN003959) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-20 |