| NPI | 1245756949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY FEDOR Licensed Profesional Therapist 814-397-3976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC006335) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2019-04-17 |