| NPI | 1659779460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY ROSSI Psychotherapist 717-818-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: PA PC006056) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |