NPI | 1013231919 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY J NULTON President 814-262-0025 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 327880) |
Enumeration Date | 2010-03-22 |
Last Update Date | 2010-03-22 |