NPI | 1932646551 |
---|---|
Entity Type | Organization |
Authorized Contact | MELINDA NOEL Owner 814-577-1154 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA CW019200) |
Enumeration Date | 2017-01-20 |
Last Update Date | 2017-01-20 |