| NPI | 1841317575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA MALDET Director Of Revenue Cycle Managemen 724-804-7159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: PA 423910) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: PA 423910) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA 423910) | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: PA 423910) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-11-24 |