| NPI | 1336473529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MERCATORIS President 814-336-6308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA TP005824B) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |