| NPI | 1083886394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER ERIVES Site Director 866-372-3288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA a75774) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |