NPI | 1508292020 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC TODD BERTA Owner 802-324-5253 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC007099) |
Enumeration Date | 2013-09-16 |
Last Update Date | 2013-09-16 |