| NPI | 1154954097 |
|---|---|
| Doing Business As | OCTOBER ROAD TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | JASON HENDRICKS Chief Executive Officer 814-940-0407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2024-04-10 |