| NPI | 1063822641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT FROEHLICH MIS Tech 814-451-2208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 414320) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |