| NPI | 1336824416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CHRISTOPHER HOLLERN President 814-812-0573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |