| NPI | 1356911465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA N ADIGWU Owner Of Entity 717-973-1108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-09-20 |