| NPI | 1487926192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE MICKOLIC Executive Director 724-946-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM M-07255) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |