| NPI | 1639290091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRIN J MIKULA CFO 724-465-5576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 421230) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2014-05-20 |