| NPI | 1982043394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA LYNN BENNETT Partner 814-240-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016017) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC005212) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2015-02-16 |