| NPI | 1508553108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JOSEPH FERRACCIO Managing Member / Psychologist 724-244-5763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-06-30 |