| NPI | 1174926711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LAROCCO Project Director 814-946-5179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 077031) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |