| NPI | 1861752073 |
|---|---|
| Other Name | GOOD SAMARITAN PHYSICIAN SERVICES FAMILY SUPPORT |
| Entity Type | Organization |
| Authorized Contact | JODY M BOGER Credentialing Coordinator 717-270-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2014-11-25 |