| NPI | 1063004299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRE THEOHARIDIS CEO 888-828-9630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-02-09 |