| NPI | 1356163752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN SCHOLL Chief Operating Officer 814-304-8560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |