| NPI | 1548747132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER M TAYLOR Project Director 814-346-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |