| NPI | 1902032451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A. KENNETH WUERTENBERG Executive Director 717-264-4301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261Q00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2016-06-02 |