| NPI | 1487454690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAIK SAHEB Executive Director 725-444-1173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-06-03 |