| NPI | 1639115223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIECE CHRISTINE ANDREWS Secretary 717-303-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA MD059271-L) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2023-09-06 |