| NPI | 1457803843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY MCCORMICK Owner 724-544-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA sp012444) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2017-06-08 |