| NPI | 1750825774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ANNE MARSHALL Dietitian 724-984-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: PA DN005561) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |