| NPI | 1215292719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MO BANKI Partner 401-739-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: RI 13998) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |