| NPI | 1275066169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE IRENE MALDONADO Owner 717-690-1092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PC007939) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |