| NPI | 1013770924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIVEA ESCALA Executive Administrator 202-681-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-02 |