| NPI | 1689703811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURETTA L LUTZ Executive Director 724-349-1420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: PA 461500) |
| Additional Taxonomies | 251C00000X (Licence: PA 414900) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-10-03 |