| NPI | 1700901204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH G SMALL Partner 717-795-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS004858-L) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |