| NPI | 1174959019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL JEAN IFRAIWAN Program Director 724-880-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 267017) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |