| NPI | 1750706198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE BASHAM Billing COO Rdinator 717-393-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 326900) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2021-09-15 |