| NPI | 1255480174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK AMENDOLA Executive Director 814-480-5956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 407390) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2022-03-02 |