| NPI | 1528325792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLBY CUSTER Director 814-242-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA SW125419) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |