| NPI | 1730231333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY GOLLICK Executive Director 717-657-4804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 261Q00000X Clinic/Center (Licence: PA 309960) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2024-03-18 |