| NPI | 1205353232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO STEPHEN MARSILI Owner 724-516-1569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: PA PC009730) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |