| NPI | 1104128636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN NEAL FISHER Incorporator 412-606-1681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA G54042) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA G54042) |
| Enumeration Date | 2010-12-04 |
| Last Update Date | 2010-12-04 |