| NPI | 1649124710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELL JOHN NAVATA Manager 725-724-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2026-02-24 |
| Last Update Date | 2026-02-24 |