| NPI | 1245896000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SUSICK Chief Operating Officer 947-522-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2023-05-16 |