| NPI | 1508915463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S. PETKAC Owner 814-882-3861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2013-09-24 |