| NPI | 1740570993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN POTTER Executive Director 814-835-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA CW013620) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2016-12-02 |