| NPI | 1144526419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MTJOY CEO 724-943-3308 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2011-03-11 |