Organization
DYSAUTONOMIA MANAGEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CLARK CRNP (OWNER)
(330) 319-1536
Entity
Organization
Contact information
Practice address
200 BAILEY DR STE 201B, STEWARTSTOWN, PA 17363-8399
(443) 692-7991
Mailing address
2930 CAROL RD STE B, YORK, PA 17402-4159
(443) 692-7991
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
06/22/2026
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