NPI | 1710624192 |
---|---|
Other Name | ACRP IBHS CFA |
Entity Type | Organization |
Authorized Contact | KALYNN KEREKES Credentialing 814-535-2277 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-05-17 |
Last Update Date | 2022-05-17 |