| NPI | 1659141059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD STOWERS CEO 725-221-0864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 103T00000X Psychologist |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251S00000X | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |