| NPI | 1881214021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD DICKSON Director Of Finance 814-724-7510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |