NPI | 1104289669 |
---|---|
Entity Type | Organization |
Authorized Contact | ZUHDI DAJANI President 814-590-0097 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: VA 0101040149) |
Enumeration Date | 2016-04-01 |
Last Update Date | 2016-04-01 |