NPI | 1396883583 |
---|---|
Entity Type | Organization |
Authorized Contact | JOYCE MAURIN FONASH Managing Partner 814-231-0940 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 147021) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2020-08-22 |