| NPI | 1841758885 |
|---|---|
| Doing Business As | CCP HERITAGE |
| Entity Type | Organization |
| Authorized Contact | LORI MARTINEZ Executive Administrator Iii 724-933-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2023-09-13 |