| NPI | 1114696879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA GRIESHEIMER Billing Director 814-243-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-07 |