| NPI | 1104991801 |
|---|---|
| Doing Business As | MOUNT NITTANY PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | BRYAN ROACH CFO 814-234-6148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: PA 550301) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2021-10-14 |