Provider First Line Business Practice Location Address:
777 W HARRISBURG PIKE
Provider Second Line Business Practice Location Address:
PENN STATE HARRISBURG STUDENT ENRICHMENT CTR, SUITE 205
Provider Business Practice Location Address City Name:
MIDDLETOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17057-4846
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-948-6025
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/08/2015