| NPI | 1164636759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY MARTOS Director Finance Personnel 724-632-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2009-10-28 |