| NPI | 1750658092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY ANNE CRAWFORD Administrator 814-381-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2021-10-27 |