| NPI | 1942271440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINA SUTTON Accounting Specialist 814-480-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2023-09-20 |