| NPI | 1093669939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL PEIK Medical Director 888-254-2163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2026-02-26 |
| Last Update Date | 2026-03-02 |