| NPI | 1013030626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD JARGER Director Pi 454-454-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management (Licence: PA 112610) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2016-01-14 |