| NPI | 1225420276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN BUYNACK Licensed Professional Counselor 814-242-0221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA PC004616) |
| Enumeration Date | 2015-02-28 |
| Last Update Date | 2015-02-28 |