| NPI | 1790399533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE KENNEDY Patient Financial Services 717-544-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |