| NPI | 1508649484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA M WEISS Member 814-934-1336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |