| NPI | 1417350216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R PACKER CEO 814-946-5411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 104100000X Social Worker |
| 171M00000X Case Manager/Care Coordinator | |
| 222Q00000X Developmental Therapist | |
| 225100000X Physical Therapist | |
| 225CX0006X | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |