| NPI | 1992499172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD GRIESHEIMER COO 814-242-4178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP1600X Counselor Pastoral | |
| 1041C0700X Social Worker Clinical | |
| 1223G0001X Dentist General Practice | |
| 152WV0400X Optometrist Vision Therapy | |
| 175T00000X Peer Specialist | |
| 207QA0505X Family Medicine Adult Medicine | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 251B00000X Case Management | |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-08 |