| NPI | 1033385943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY SION Office Mgr 724-258-9565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PA dc005259L) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |