| NPI | 1295430205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CALANDRO CEO 888-710-8220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2026-02-27 |