| NPI | 1821501834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA GRIESHEIMER Billing Director 814-474-6454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA 6624687) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |