| NPI | 1871802306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN COOKE FOOS Owner/Operator 717-724-3628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: PA MD065010L) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |