| NPI | 1275950693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON DEETS Owner 814-807-0487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC004908) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW003132L) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |