| NPI | 1942610175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY L LUCAS COO 717-208-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: PA PC005498) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2022-10-11 |