| NPI | 1053535849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ELAINE SMITH Administrative Assistant 814-443-4891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA 362230) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2016-04-28 |