| NPI | 1548567175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KEARNEY Medical Billing Specialist 814-580-1743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA CW015648) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2019-07-26 |