Organization
CDB THERAPY, LLC
Active
Other names
CDB Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CODY DANIEL BAIR LCSW (OWNER/LCSW)
(814) 380-4697
Entity
Organization
Contact information
Practice address
925 W COLLEGE AVE, STATE COLLEGE, PA 16801-2804
(814) 380-4697
Mailing address
109 GRIZZLY LN, MADISONBURG, PA 16852-8013
(814) 380-4697
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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