| NPI | 1982224945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN WESLEY THOMAS Director 717-654-9007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2023-07-07 |