| NPI | 1033654090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID ANSELL CEO 724-944-3853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: PA 6459807) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: PA 6459807) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2017-01-06 |