| NPI | 1790563740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIE N CHOATE Therapist 717-609-3626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2024-01-05 |