| NPI | 1629518899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA ERDLEY Lsw 814-262-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA SW127858) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |