| NPI | 1205226297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL A FORERO Owner 814-336-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: PA PC007450) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |