NPI | 1043067655 |
---|---|
Entity Type | Organization |
Authorized Contact | FAJR KHOKHAR Practice Manager 667-802-0425 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QP2000X Clinic/Center, Physical Therapy | |
Enumeration Date | 2024-05-01 |
Last Update Date | 2024-05-01 |