| NPI | 1043581226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ANNE SLAGEL Clinician 412-977-3823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: PA PC004724) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |