| NPI | 1801855127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ALI AGHA RAAD Administrator 724-777-7702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: PA 1843) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2023-03-09 |