| NPI | 1073022067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA L CALLICOAT Owner & CEO 681-217-7172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2024-11-11 |