# CDB THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CDB Therapy, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225669955
- **Authorized official:** MR. CODY DANIEL BAIR LCSW (OWNER/LCSW)
- **Authorized official phone:** (814) 380-4697

## Contact information

- **Practice address:** 925 W COLLEGE AVE, STATE COLLEGE, PA 16801-2804
- **Practice address phone:** (814) 380-4697
- **Mailing address:** 109 GRIZZLY LN, MADISONBURG, PA 16852-8013
- **Mailing address phone:** (814) 380-4697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/31/2020
- **Last updated:** 01/31/2020