NPI | 1780752378 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN ROACH CFO 814-234-6148 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 550301) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2021-10-04 |