| NPI | 1700520855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIE DANCHANKO Executive Director 814-534-6242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251V00000X Voluntary or Charitable | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2025-08-13 |