| NPI | 1184578619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ANN GARCIA Authorized Official 606-233-3661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2026-02-23 |
| Last Update Date | 2026-02-23 |