| NPI | 1750418554 |
|---|---|
| Former Legal Business Name | DICKINSON MENTAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JACK A GROGA CEO 814-776-2145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2013-02-21 |