| NPI | 1265950513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN JACKOWSKI Office Manager 814-920-4164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC0005960) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2021-06-11 |