| NPI | 1114594751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA KOST Billing Supervisor 412-872-9422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-06-10 |