| NPI | 1588088298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE LEE VALENTINE Licensed Professional Therapist 814-490-4821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC003951) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2014-02-17 |