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 |