| NPI | 1013436302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA C OVERLY-RIPPLE Director 814-444-6554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |