| NPI | 1245037456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY GALLAHER Owner 814-335-5965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 261QR0800X Clinic/Center Recovery Care | |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-03-09 |