| NPI | 1679054183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER TRACY Director Of Operations 724-366-2815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 267024) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2021-11-03 |