| NPI | 1548381155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA CARY Contract Manager 814-817-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: PA 844020) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: PA 425250) |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: PA 425250) | |
| 251K00000X Public Health or Welfare (Licence: PA 335610) | |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-01-15 |