| NPI | 1780397232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN DAISLEY Compliance Officer 814-899-7664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2023-01-03 |