| NPI | 1790808962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY R NICCOLAI Executive Director 724-632-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-12-02 |