| NPI | 1063207967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT MCNEAL Pres 561-501-2391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-04-11 |
| Last Update Date | 2025-04-11 |