| NPI | 1225470214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY PATER Owner 814-935-1185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: PA 077028) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2014-07-31 |