| NPI | 1053187187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA HENRY President 888-959-5192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |