NPI | 1487852885 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER R WALKER Facility Director 814-337-7431 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: PA 207015) |
Enumeration Date | 2007-07-06 |
Last Update Date | 2020-08-22 |