| NPI | 1336501923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALLIE CARLTON Project And Facility Director 814-952-8446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 337112) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |