| NPI | 1235321100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM TOM FOGARTY President 800-232-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2010-07-01 |