| NPI | 1306184775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY PONKO CFO 724-550-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: PA 444760) |
| Additional Taxonomies | 251S00000X (Licence: PA 444760) |
| Enumeration Date | 2013-01-19 |
| Last Update Date | 2021-08-14 |