| NPI | 1578068581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A STATES Psychologist 814-238-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PS0105297) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |