| NPI | 1174869291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HENDRICKS Chief Executive Officer 814-940-0407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD MH-915) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2024-04-10 |