| NPI | 1639797657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI BETH BISHOP CEO 814-631-9477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |