| NPI | 1679947378 |
|---|---|
| Former Legal Business Name | GEORGE CARLSON COUNSELING |
| Entity Type | Organization |
| Authorized Contact | GEORGE CARLSON Counselor 814-952-7103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PA SW132824) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |