| NPI | 1922186352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD DICKSON Director Of Finance 814-724-7510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 458860) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-04-17 |