| NPI | 1417017096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN R DITTMAN Executive Director 814-642-2910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 537034) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 427024) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 427033) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 427038) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 427034) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 127037) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 241094) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2010-11-03 |