| NPI | 1043849086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALLORY NICOLE CLARY Office Manager 724-382-4941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2023-03-23 |