| NPI | 1811325921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM KLEINMAN Owner 814-241-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA CW017759) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2019-06-14 |