| NPI | 1265482863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN GRESH CFO 814-866-4504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2022-01-24 |