| NPI | 1932695459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARIE MCKENNA Sole Member 724-624-7553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: PA CW017510) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |