| NPI | 1083113799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J PURCHASE Owner 814-969-3031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA sw133012) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2019-06-05 |