| NPI | 1780704692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS KIRKWOOD CFO 814-453-5806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 257073) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 257073) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-05-23 |