| NPI | 1386236156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELENCE A SHEARES President 725-234-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-03 |