| NPI | 1326499989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAR LEVELL JOHNSON Executive Officer 412-657-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2405) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2019-01-25 |