| NPI | 1952799975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY B PATER Owner 814-935-1185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 077028) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |