| NPI | 1689452641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELA GARCIA-CRUZ Pa 717-609-6596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2024-07-22 |