| NPI | 1558482992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN H FORSHA Billing Supervisor 814-371-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: PA 407300) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |