| NPI | 1902078181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK J JANAKOVIC Executive Director 814-535-2277 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 309250) |
| Additional Taxonomies | 261QM0801X (Licence: PA 309250) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2009-10-28 |