| NPI | 1699290437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA MARIE STEPHENS Counselor 717-601-2235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015915) |
| Enumeration Date | 2017-08-12 |
| Last Update Date | 2017-10-22 |