| NPI | 1518088160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D. PETULLA Chief Executive Officer 814-899-7664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 433380) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |