| NPI | 1912684176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D WILKINSON CEO 725-867-8144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2024-01-25 |