| NPI | 1710257795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY CRISCITELLO Nurse Practitioner, Incorporator 814-371-6877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |