NPI | 1689727273 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY RUTLEDGE Executive Director 814-629-4223 |
Organization Subpart ? | No |
Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: PA PS008498L) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2008-07-23 |