| NPI | 1518742204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LYON Business Office Manager 814-315-4520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2025-05-13 |