| NPI | 1811186208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HOOKER CEO 717-232-7509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA 331960) |
| Additional Taxonomies | 251T00000X PACE Provider Organization (Licence: PA 2953440) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2015-11-04 |