| NPI | 1689761827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE RICKARD Accounts Receivable Supervisor 724-946-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251B00000X Case Management |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2022-03-15 |