| NPI | 1750001467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY MORRIS CFO 717-531-6238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-10-24 |