| NPI | 1033501523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE GATES-MOORE Co Owner 814-599-4124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA cw017193) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC006863) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-03-02 |