| NPI | 1285810796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINA SUTTON Acctng Clerk 814-480-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2022-03-02 |