| NPI | 1508983289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEIGH HERSHBERGER Revenue Cycle Manager 724-804-7193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA 423910) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist (Licence: PA 423910) | |
| 103TH0004X Psychologist, Health | |
| 106H00000X Marriage & Family Therapist | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: PA 423910) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA 423910) | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: PA 423910) | |
| 251K00000X Public Health or Welfare (Licence: PA 423910) | |
| 261Q00000X Clinic/Center (Licence: PA 423910) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 423910) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 423910) | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 423910) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-11-24 |