| NPI | 1861920936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LAUS Owner 717-991-4755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-10-23 |