| NPI | 1184954745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HENDRICKS Chief Executive Officer 814-940-0407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 903214) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2024-04-10 |