| NPI | 1215300447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNE LOUISE SWANSON Psychologist 814-574-2939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PC004788) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-30 |