| NPI | 1104207612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHDI NIKPARVARFARD Owner 570-441-4267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: PA MD424252) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |