| NPI | 1992246573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C NDUNGU Authorized Official 717-430-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2023-11-16 |