| NPI | 1891815429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS KIRKWOOD Chief Financial Officer 814-453-5806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 405900) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA 405900) |
| 101YP2500X Counselor Professional (Licence: PA 405900) | |
| 104100000X Social Worker (Licence: PA 405900) | |
| 1041C0700X Social Worker Clinical (Licence: PA 405900) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA 40590) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-05-23 |