NPI | 1427506708 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON HENDRICKS CEO 814-940-0407 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2016-09-15 |
Last Update Date | 2024-04-10 |