| NPI | 1306164975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY J NULTON CEO 814-262-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 327920) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: PA 327880) |
| 251S00000X Community/Behavioral Health (Licence: PA 442490) | |
| 251S00000X Community/Behavioral Health (Licence: PA 442510) | |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-12-09 |