| NPI | 1982570149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MARIE HACKMAN Lpc 717-423-9840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-20 |