| NPI | 1033174966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN B PAE President/Therapist 814-838-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA BDAP257065) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2022-11-09 |