NPI | 1306482641 |
---|---|
Other Name | TUSSEY MOUNTAIN JR/SR |
Entity Type | Organization |
Authorized Contact | KALYNN KEREKES Credentialing 814-535-2277 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2019-11-21 |
Last Update Date | 2019-11-21 |