| NPI | 1811354863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE SOMERS Administrator 814-237-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |