| NPI | 1427537786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM LAWRENCE CLARKE President 814-297-0735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PS018506) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |