| NPI | 1972240042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOELLE LYNN SHIRK Owner 717-479-2048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-05-19 |