| NPI | 1992392005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN SMITH Executive Director/Owner 814-512-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2021-06-01 |