| NPI | 1801670385 |
|---|---|
| Other Name | OCTOBER ROAD ACTT 4 |
| Entity Type | Organization |
| Authorized Contact | JASON HENDRICKS CEO 814-940-0407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2024-04-10 |