| NPI | 1427878685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY GALLAHER Owner 814-592-3315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-14 |