| NPI | 1770824617 |
|---|---|
| Other Name | OUTPATIENT PSYCH CLINIC - NOLL |
| Entity Type | Organization |
| Authorized Contact | KEVIN J HALEY CFO 717-531-8521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 327730) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-03-01 |