| NPI | 1184235905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ERNESTO NOLASCO MORALES President And CEO 866-477-7472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RH0005X Internal Medicine, Hypertension Specialist |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-12-01 |