NPI | 1508217043 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER ZIMMERMAN Medical Director 717-822-5516 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 9) |
Enumeration Date | 2016-06-27 |
Last Update Date | 2022-07-21 |