| NPI | 1457402265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A TOTARO Executive Director CEO 717-657-4804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 309960) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |