| NPI | 1073058038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG LEWIS Owner 814-860-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PC008914) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2016-12-30 |