| NPI | 1437527280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL GARY JOHNSON Licensed Professional Counselor 814-319-7217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA PC003785) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |