| NPI | 1447851993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HENDRICKS Chief Executive Officer 814-940-0407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2024-04-10 |