NPI | 1588109771 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON HENDRICKS CEO 814-940-0407 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2016-12-27 |
Last Update Date | 2024-04-10 |