| NPI | 1366944332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRIN JAMES MIKULA CFO 724-465-5576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 117063) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |