| NPI | 1902202732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WIJKSTROM Therapist 412-316-7397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC007895) |
| Additional Taxonomies | 261QM0801X |
| 101Y00000X Counselor | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2023-12-01 |