NPI | 1013398130 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON M LIEB Executive Officer 814-883-9949 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2015-06-15 |
Last Update Date | 2015-07-20 |