| NPI | 1942848940 |
|---|---|
| Doing Business As | KERRY BANTA |
| Entity Type | Organization |
| Authorized Contact | KERRY DAVENPORT BANTA Owner 717-503-5909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |