NPI | 1003337346 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON MICHAEL RICKER Owner/ Therapist 724-972-9090 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC009388) |
Enumeration Date | 2017-06-27 |
Last Update Date | 2017-06-27 |