| NPI | 1285757435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HENDRICKS CEO 814-940-0407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: PA 707229) |
| Additional Taxonomies | 251S00000X (Licence: PA 707229) |
| 261Q00000X Clinic/Center (Licence: PA 707229) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 707229) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA 707229) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 707229) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2024-04-10 |