| NPI | 1639559388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW SIPPLE Physician 814-454-1085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA os013457) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |