| NPI | 1811913098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL M. TAYLOR Office Manager 814-455-8096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: PA OS008832L) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2009-11-30 |