| NPI | 1588440325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN VINCENT ENDERLE Owner, LLC, Primary Provider 717-880-5774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |