| NPI | 1326557554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY P STUMP Owner/Counselor 717-467-5909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |