| NPI | 1871286260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL RENEE SUTTON Owner 717-418-4307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-05-31 |