| NPI | 1578983219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAKE D THIESSEN President 717-433-5751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF000107) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |