| NPI | 1205083607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZCHODAE STROM Administrator 888-360-3522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 141835) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2009-01-28 |