| NPI | 1174204069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER R BELL Founder 347-872-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-25 |