NPI | 1972374973 |
---|---|
Entity Type | Organization |
Authorized Contact | GRACIA ETIENNE Authorized Official 717-430-0434 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2024-01-10 |
Last Update Date | 2024-06-05 |