| NPI | 1861422834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN R DITTMAN Mh Mr Drug & Alcohol Administrator 814-226-6252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261Q00000X Clinic/Center | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |