| NPI | 1184418865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE MILLER Contracting Director 725-206-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |