| NPI | 1477898096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNA LEARN Mental Health Therapist/Partner 814-504-3514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NJ 37PC00448800) |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NJ 2000559) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2016-05-20 |