| NPI | 1861621997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEBASTIAN LONIGRO Owner 724-430-0988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PS000524L) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2021-02-16 |