| NPI | 1902553316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH WISE Partner 814-392-5681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2022-03-05 |
| Last Update Date | 2022-03-05 |