| NPI | 1184314445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA HENRY CEO 888-959-5192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-07-19 |