| NPI | 1033650932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN EDWIN STUBE Owner 814-387-8823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC008236) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |