| NPI | 1710432844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS PONESSA President 717-560-7917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA SW125120) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |