Organization
BLENDED SPIRITS RANCH
Active
Other names
Blended Spirits Ranch Equine Assisted Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA LONG (EXECUTIVE DIRECTOR)
(814) 449-5657
Entity
Organization
Contact information
Practice address
7401 MCCRAY RD, FAIRVIEW, PA 16415-2401
(814) 449-5657
Mailing address
7401 MCCRAY RD, FAIRVIEW, PA 16415-2401
(814) 449-5657
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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