| NPI | 1285099499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE BETH KASSAHUN Lpc 717-233-4027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PC008569) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |