| NPI | 1447609565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LYNN ROSEN CEO 724-994-6839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2021-09-19 |