| NPI | 1285969972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHIANN W CONDON Clinical Director 724-504-1229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA SW127031) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 111556 (ICRC)) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 041021) | |
| 101YP2500X Counselor, Professional (Licence: PA 249569 (NCC)) | |
| 101YP2500X Counselor, Professional (Licence: OH C0601027) | |
| 101YP2500X Counselor, Professional (Licence: MI 6401008337) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6802080371) | |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |