| NPI | 1215132113 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DAWN RENEE SMITH Owner 724-699-8818 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC004398) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0004297) | 
| Enumeration Date | 2007-06-19 | 
| Last Update Date | 2020-08-22 |