| NPI | 1619232980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY D. KERR Clinical Supervisor 724-539-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA SW129596) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |