| NPI | 1861025058 |
|---|---|
| Doing Business As | PLAZA 18 BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | NICOLE GROSSI Credentialing Specialist 814-868-2507 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |