| NPI | 1811165012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTI L BEAZELL Billing Manager 724-439-4531 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: PA MD034011L) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-19 |