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