| NPI | 1336696913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN SEERY Autorized Official 814-207-3931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 258888) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MA 258888) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |