| NPI | 1588142251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SMOKER Sole Member 717-475-4153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA PC008183) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |