| NPI | 1063570356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE AMANDA CALHOUN CEO 814-941-2377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS004656L) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |