| NPI | 1548539141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS RADECKI Owner/Medical Doctor 814-226-4909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: PA MD015591E) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD015591E) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |