| NPI | 1699128447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA CORETTA THOMPSON Counselor 717-233-7290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: PA RC0181901) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |