| NPI | 1710781760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER YOUND COO 717-485-3622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208D00000X General Practice |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-09-02 |