| NPI | 1396999892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIDELIS O EJIANREH Owner 814-234-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA OS012029) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2008-11-11 |