| NPI | 1245679737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDAN BAKIR Owner 800-399-4399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A107345) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2022-01-25 |