| NPI | 1134873474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ROBERT WOOD Clinical Social Worker/Owner 814-528-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-02-06 |
| Last Update Date | 2022-09-27 |