| NPI | 1982738753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE MEDLEY-LONG Executive Director 412-361-8284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA MD024454E) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2009-10-21 |