| NPI | 1871094862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSIE C DALOPE CEO 725-204-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-02-24 |
| Last Update Date | 2023-04-07 |