NPI | 1659030328 |
---|---|
Doing Business As | MARK STOLTZ LCSW |
Entity Type | Organization |
Authorized Contact | MARK A STOLTZ Owner 814-771-5544 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2021-12-10 |
Last Update Date | 2021-12-10 |