| NPI | 1245865815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LUSK Chief Financial Officer 814-868-7760 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2023-04-26 |