| NPI | 1124357074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ELAINE SKANTZOS Program Director/Owner 724-775-7905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: PA 047052) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2014-03-07 |