| 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 Community/Behavioral Health (Licence: PA 537034) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2019-07-29 |