| NPI | 1275646614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI I LEE Senior Director Revenue Cycle 844-969-0686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2024-01-18 |