| NPI | 1255084786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND FIGUEROA Chief Executive Officer 833-426-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-02-07 |