NPI | 1083348692 |
---|---|
Entity Type | Organization |
Authorized Contact | YOUSSEF MOTII President And CEO 855-479-4404 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
Enumeration Date | 2022-07-11 |
Last Update Date | 2023-08-07 |