NPI | 1033343793 |
---|---|
Entity Type | Organization |
Authorized Contact | EDUARDO M CHAMAH President 337-806-0293 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QH0100X Clinic/Center Health Service (Licence: PR 10266) |
Enumeration Date | 2009-05-11 |
Last Update Date | 2023-06-01 |