| NPI | 1023074192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY K HASLETT Owner 814-266-5238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 103T00000X Psychologist | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2017-04-27 |