NPI | 1639527351 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHRYN SUSANO MORRIS Chief Executive Officer / President 724-437-6461 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: PA 447270) |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: PA 447270) |
Enumeration Date | 2016-06-03 |
Last Update Date | 2016-08-02 |