| NPI | 1568023687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY NELSON DINGER CFO 814-877-3739 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |