| NPI | 1033430061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY RUSSELL GARMAN President 340-778-0730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: VI 1602) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2011-05-05 |