| NPI | 1962756031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINT C STANKIEWICZ Executive Director/President 717-439-5908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00488600) |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2019-01-28 |