| NPI | 1003793936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLEE VAN GENT Owner 724-372-5673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-08-20 |