| NPI | 1972934206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH KOENIG Director, Billing Dep't. 717-232-7580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 420927300) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2024-12-12 |