| NPI | 1083421671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MARSHALL Owner 724-250-0262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |