| NPI | 1245209170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG A ULMER CEO 814-454-4530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2023-12-05 |