| NPI | 1326047937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK W JACKSON President 717-975-2430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 05401500) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2007-10-22 |