| NPI | 1659403806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY J. NULTON President 814-262-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: PA 311620) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |