| 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 |