| NPI | 1033564414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARYD STEIN Chief Medical Officer 866-552-4866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2025-06-11 |