NPI | 1205309531 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY RUDOLPH Therapist/Owner 814-616-2858 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-01-09 |
Last Update Date | 2019-01-09 |