| NPI | 1841523354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK A. GRILL Physician Sole Member Of LLC 717-248-8669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA OS004990L) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |