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 |