| NPI | 1104806793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH J. DUFFY Executive Director 814-724-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: PA 201084) |
| Additional Taxonomies | 251B00000X Case Management (Licence: PA 201084) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2007-08-03 |