| NPI | 1992435663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E WANKEL Owner 814-366-7037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251V00000X Voluntary or Charitable | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-10-04 |