| NPI | 1265160451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA GRIESHEIMER COO 814-243-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2024-07-12 |