| NPI | 1063587103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CHUFF Executive Director 814-940-7457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA 311650) |
| Additional Taxonomies | 251S00000X |
| 261Q00000X Clinic/Center (Licence: PA 311650) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 311650) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA 311650) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 311650) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2018-10-29 |