| NPI | 1770991499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW W SIPPLE Medical Director 814-454-1085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OS13457) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2020-02-10 |