| NPI | 1447624507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY A VILENSKY Owner 814-753-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD451033) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2021-01-28 |