| NPI | 1972932085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD LULO Manager 717-718-5786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD439432) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |