| NPI | 1194930040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY TAYLOR Regional Manager 800-444-7009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: MD D0065884) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2009-09-11 |