| NPI | 1194790592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN BOLAND Administrative Director 814-480-6892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 11811500) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2025-01-24 |