NPI | 1285432047 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON HENDRICKS CEO 814-940-0407 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2025-03-06 |
Last Update Date | 2025-03-06 |