| NPI | 1124210687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ELLIOTT CEO 814-452-7753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 4561500) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |