| NPI | 1114119930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM FOGARTY President 800-232-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2009-10-17 |