| NPI | 1730227307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA J STUBBER Executive Director 814-453-6229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2020-09-02 |