| NPI | 1194184895 |
|---|---|
| Doing Business As | WEIGHT LOSS AND VITALITY |
| Entity Type | Organization |
| Authorized Contact | GEVORG SEDRAKYAN Medical Director 570-550-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |