| NPI | 1861054512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L STEWART Executive Director 717-217-9380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2022-02-24 |