| NPI | 1093385494 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | MARY BETH RUCKI Nurse Practitioner 724-601-4790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-06-28 |