| NPI | 1093399669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT FRIEDMAN Executive VP 888-209-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 207QA0505X Family Medicine, Adult Medicine | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2025-09-16 |