NPI | 1124790944 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE S AVILES President 939-274-7336 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
253Z00000X In Home Supportive Care | |
251E00000X Home Health | |
261QE0002X Clinic/Center, Emergency Care | |
261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
343900000X Non-emergency Medical Transport (VAN) | |
Enumeration Date | 2021-09-30 |
Last Update Date | 2021-09-30 |