| NPI | 1679698021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA L. GASOWSKI Secretary Treasurer 717-632-7714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD035143L) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |