| NPI | 1326396870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE COCHRAN CEO/President 717-709-7906 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2024-05-16 |