| NPI | 1073773230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE ERNST Supervisor Of Billing 814-464-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 405900) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |