| NPI | 1639201023 |
|---|---|
| Doing Business As | GREENCASTLE FAMILY PRACTICE, COUNSELING AND PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | JENNIFFER L SHOWALTER Exec Assistant 223-465-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC000234) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA PS008907L) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2023-03-29 |