| NPI | 1639899610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL SHEA Owner 717-816-5882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2024-02-08 |