| NPI | 1477002152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ANNE WILSON CEO 724-941-8068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PA SW010689L) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |