| NPI | 1417904269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R JUSTIN BEAL Owner/Therapist 814-444-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 567-012) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW012683) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2011-10-18 |