| NPI | 1184510380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA ROBERTS CEO 346-809-3747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-25 |