| NPI | 1336131655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY FIELDS MOCK Owner 717-258-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-08-22 |