| NPI | 1417332586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA JEAN CAMBERG Owner 814-590-2978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA CW014054) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |