NPI | 1295275170 |
---|---|
Entity Type | Organization |
Authorized Contact | ABHAY AGARWAL Deputy Medical Director 984-255-6061 |
Organization Subpart ? | No |
Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NC 0010-05558) |
Enumeration Date | 2017-02-27 |
Last Update Date | 2017-02-27 |