| NPI | 1023898186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J HINKLE Owner 570-708-4451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |