| NPI | 1881450229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ELAINE SKANTZOS Director 724-775-7905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |