| NPI | 1659504132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LYNN MANCHES Outpatient Therapist/Owner 724-415-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA PC004484) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2009-08-31 |