NPI | 1679974570 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON HENDRICKS CEO 814-940-0407 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: PA 287058) |
Enumeration Date | 2014-09-10 |
Last Update Date | 2024-04-10 |