| NPI | 1578605861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL M CONSTANTINE Owner 724-523-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PA MD040340L) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-11-13 |