NPI | 1245828482 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN CARMEN PANETTA Owner/Provider 814-323-5732 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2021-01-04 |
Last Update Date | 2021-01-04 |