| NPI | 1114238896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA AMANDA WATSON Manager 814-866-2428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2011-02-08 |