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 |