| NPI | 1619149796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P. ONDICH Owner 724-783-7124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: PA OS006237L) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-07-08 |