| NPI | 1326254079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL THEODORE WEST Corporate Officer 717-355-2940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |