| NPI | 1811506884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET TRYCHIN Owner/Director 814-897-1194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |