| NPI | 1538123815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL T. CLAYTON Business & Development Manager 717-652-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2008-11-13 |