| NPI | 1992017586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS NEWCOMER Billing Specialist 717-238-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA SW126836) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-12 |