| NPI | 1184504268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO SANCHEZ Director 877-396-3341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 111N00000X Chiropractor |
| 261Q00000X Clinic/Center | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical | |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |