| NPI | 1043204688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANN BORBONUS Executive Director 724-465-1922 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 10561500) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2020-04-28 |