| NPI | 1346599560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY RAE HANSEN Clinical Director 717-755-8876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2025-12-09 |