| NPI | 1942584032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALLEN BOSWELL Executive Director 717-443-5416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2019-12-15 |