| NPI | 1346696390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD LENSBOWER Business Manager 717-263-6370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS-006274-L) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC008033) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |