| NPI | 1366801250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA PETERSON-HADDEN Owner 814-218-3054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015447) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-23 |