| NPI | 1306359914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY A VILENSKY President 814-753-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD451033) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2021-01-28 |