| NPI | 1326566381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE SHEAFFER Billing/Credentialing Manager 717-230-3926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-11-16 |