| NPI | 1790951655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY MARTOS Director Finance And Personnel 724-632-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: PA 391911) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |