| NPI | 1710985445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILEE D BALL Manager 717-531-1318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 17201501) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-09-28 |