| NPI | 1619270113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STEPHEN PHILLIPS Owner 717-691-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA CW013894) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2011-05-09 |