| NPI | 1588903553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY T. FAIT Office Manager 724-757-1460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA PC005480) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-03-06 |