| NPI | 1790237501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG A MILLER Authorized Official 717-515-4048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2025-03-14 |