| NPI | 1306242821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA ANN BENNETT Facility Director 814-240-6216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: PA 257084) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2015-04-22 |