| NPI | 1750595450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS GARRETT Executive Director 724-489-0215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA 657035) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: PA 657035) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2024-02-23 |