| NPI | 1063697795 |
|---|---|
| Other Name | MEDICARE |
| Entity Type | Organization |
| Authorized Contact | ROGER KELLY Executive Director 724-287-0791 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 423000) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |