| NPI | 1790041663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A TOTARO Executive Director/CEO 717-657-4804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |