| NPI | 1306547427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY BARRACHINA Director 833-463-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-12-28 |