| NPI | 1467171694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY LYN GALLAHER Fnp Bc 814-592-3315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |