| NPI | 1336728724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ALAN MCCONNELL Program Manager 814-934-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2026-06-24 |