| NPI | 1144891367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL V OLLIVIERRE-AGARD Owner 800-838-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 170300000X Genetic Counselor, MS |
| 208D00000X General Practice | |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2022-08-01 |