NPI | 1255929386 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS E LLOYD CEO 724-652-5144 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 208600000X Surgery |
261QM2500X Clinic/Center, Medical Specialty | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2021-01-05 |
Last Update Date | 2021-05-11 |