NPI | 1215311378 |
---|---|
Doing Business As | EMPACT-SPC |
Entity Type | Organization |
Authorized Contact | BRITTANY RASMUSSEN Credentialing Coordinator 480-868-9479 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2015-07-17 |
Last Update Date | 2023-10-03 |