NPI | 1184849093 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA ECKSTROM Executive Director 814-362-6517 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 427038) |
251S00000X (Licence: PA 537034) | |
Enumeration Date | 2007-04-16 |
Last Update Date | 2019-07-29 |