| Taking Flight Developmental Center, Llc | |
|
1981 Cato Ave Suite 2 State College PA 16801-2754 | |
| (814) 954-4187 | |
| (814) 954-4197 |
| Full Name | Taking Flight Developmental Center, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1981 Cato Ave, State College, Pennsylvania |
| Authorized Official Name and Position | Alisha Munda (BUSINESS MANAGER) |
| Authorized Official Contact | 8149544187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taking Flight Developmental Center, Llc 301 S Allen St Ste 106 State College PA 16801-4862 Ph: (814) 954-4187 | Taking Flight Developmental Center, Llc 1981 Cato Ave Suite 2 State College PA 16801-2754 Ph: (814) 954-4187 |
| NPI Number | 1023407673 |
|---|---|
| Provider Enumeration Date | 01/21/2015 |
| Last Update Date | 11/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023407673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC008556 (Pennsylvania) | Primary |
| 103T00000X | Psychologist | PS-016201 (Pennsylvania) | Secondary |
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