| NPI | 1730834987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA GRIESHEIMER Billing And Credentialing Director 814-243-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |