| NPI | 1780018812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE RICHARDS Billing Supervisor 814-616-0509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2020-12-02 |