| NPI | 1548583024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY L DUCKWORTH Child & Adolescent Counselor 717-337-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA PC005417) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |