| NPI | 1982724548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS KIRKWOOD CFO 814-453-5806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 401360) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: PA 425610) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-05-23 |