| NPI | 1265252571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A. TABRON CEO 724-710-0548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251X00000X Supports Brokerage | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-12-30 |