| NPI | 1699195040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE M PANTANELLA-CRUMLING Owner 717-519-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA CW015470) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2025-02-12 |