| NPI | 1659708659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRIN JAMES MIKULA CFO 724-465-5576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2018-04-11 |