| NPI | 1184814782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK SISK CFO 814-938-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 163701) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |