| NPI | 1013129709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS YATES President 267-994-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 102930) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-12-19 |