| NPI | 1396822425 |
|---|---|
| Other Name | EPSDT |
| Entity Type | Organization |
| Authorized Contact | JEAN A DZIAGWA Director PFS 814-410-8296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-04-23 |