| NPI | 1750255451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENALI BRICHER Administrator 725-346-5009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2025-10-03 |