NPI | 1366564981 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL I LAST Proprietor 724-537-1678 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD 040791-L) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2020-08-22 |