| NPI | 1366083131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HENDRICKS CEO 814-940-0407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2024-04-10 |