| NPI | 1093968232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA B GARCIA Vice President Provider Operations 800-729-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health (Licence: TN 261QP2400X) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2009-04-21 |