| NPI | 1588052609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINA SUTTON Acctng Clerk 814-480-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2024-09-06 |