| NPI | 1578881074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A MOORE Facility Director 814-942-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: PA 077027) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA 077027) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 077027) | |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-06-21 |