| 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 |