| NPI | 1629512660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLENE GIBSON CEO 814-254-4351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW018684) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904009477) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |