Organization · Type 2 NPI
Office of Labor & Industry
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Johnstown, PA
Practice location
727 Goucher St
Johnstown, PA 15905-3025
Fax (814) 254-0466
Mailing address
1407 Eisenhower Blvd, Suite 104
Johnstown, PA 15904-3262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 5343 (PA) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Another provider at this address
About NPI 1326478587
Office of Labor & Industry's National Provider Identifier is 1326478587, issued on Nov 25, 2013. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Johnstown, PA. The record was last updated on Oct 10, 2014.