| NPI | 1306120167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ELIZABETH DRAKE Vice President 717-232-7580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NJ 0257265) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2025-09-11 |