| NPI | 1861235103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA LYN BONCELLA Lpc 814-392-8891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2025-07-21 |