| NPI | 1023029352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL D TIPPET Medical Director 724-933-3310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA MD041136E) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2012-08-02 |