| NPI | 1760601512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY BOHN Chief Financial Officer 412-749-2813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA 411590) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA 414590) |
| 1041C0700X Social Worker, Clinical (Licence: PA 414590) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA 414590) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 414590) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |