NPI | 1952473837 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL SHAWN BRYAN CEO 717-394-5334 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 367021) |
Additional Taxonomies | 251S00000X (Licence: PA 367021) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2014-12-15 |