| NPI | 1235309949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY ELLEN VERNAM Lpc And Owner 724-458-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC004344) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA PC004344) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2012-08-31 |