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Organization
TAKING FLIGHT DEVELOPMENTAL CENTER, LLC
Active
Organization
TAKING FLIGHT DEVELOPMENTAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA MUNDA (BUSINESS MANAGER)
(814) 954-4187
Entity
Organization
Contact information
Practice address
1981 CATO AVE, SUITE 2, STATE COLLEGE, PA 16801-2754
(814) 954-4187
(814) 954-4197
Mailing address
301 S ALLEN ST STE 106, STATE COLLEGE, PA 16801-4862
(814) 954-4187
(814) 954-4197
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC008556
PA
103T00000X
Psychologist
PS-016201
PA
Other
Enumeration date
01/21/2015
Last updated
11/14/2018
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