| NPI | 1972083368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY SULT Licensed Professional Counselor 717-658-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA PC007703) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-09-11 |