| NPI | 1275621377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALLEN DUNNE Treasurer 724-728-2203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA SW-001020-E) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC000196) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2009-12-13 |