NPI | 1164962684 |
---|---|
Entity Type | Organization |
Authorized Contact | CINDY HAHN CHEN Chronic Conditions Manager 628-242-6677 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 824984) |
Enumeration Date | 2017-03-02 |
Last Update Date | 2017-03-02 |