| NPI | 1952420325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM KANUCH VP Of Finance 4412-578-6907 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 234401) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2012-05-30 |