| NPI | 1003854241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARE ERNST Supervisor Of Billing 814-464-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 405900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA 405900) |
| 101YP2500X Counselor, Professional (Licence: PA 405900) | |
| 103G00000X Clinical Neuropsychologist (Licence: PA 405900) | |
| 104100000X Social Worker (Licence: PA 405900) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA 405900) | |
| 251S00000X | |
| 363A00000X Physician Assistant (Licence: PA 405900) | |
| 363AM0700X Physician Assistant, Medical (Licence: PA 405900) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-02-12 |