| NPI | 1396178323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIGHLAND R CAMPBELL Owner 267-335-3961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA MD422335) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: PA MD422335) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-09-10 |