| NPI | 1083481816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE SOLOMON President 877-345-2787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251B00000X Case Management |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QU0200X Clinic/Center Urgent Care | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2023-12-12 |