| NPI | 1114007762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF BARNETT CEO 814-226-9545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: PA 472340) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |