| NPI | 1972164705 |
|---|---|
| Other Name | WILLIAM P. KIMMEL ALTERNATIVE SCHOOL |
| Entity Type | Organization |
| Authorized Contact | KALYNN KEREKES Credentialing 814-535-2277 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |