| NPI | 1861680498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY C. MOYER Office Manager 814-234-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA PS004325L) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |