| NPI | 1821093204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY N SUTLEY Clinical Director / Administrator 814-849-6561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 11351500) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2024-06-10 |