| NPI | 1063533040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HENDRICKS CEO 814-940-0407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: PA 257077) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2024-03-18 |