| NPI | 1174838668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN BRIGHID MILLER Sole Proprietor 814-505-4241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA SW127247) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2011-02-04 |