| NPI | 1770070096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW W SIPPLE Medical Director 814-790-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2020-02-10 |