| NPI | 1932105756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURTIS D JENS Owner 717-299-0582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD025752E) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2020-08-22 |