| NPI | 1073573010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA GRIESHEIMER Billing Director 814-262-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: PA 314080) |
| 251S00000X Community/Behavioral Health (Licence: PA 117055) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2014-09-04 |