| NPI | 1295225597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY THORKELSON Owner 412-214-0042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD443605) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-06-16 |