| NPI | 1245938216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BURKHOLDER Manager 724-516-8492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-08-07 |