| NPI | 1265891477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN RYAN Senior VP Of Business Development 717-708-1468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 062579) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2024-04-02 |