NPI | 1316473846 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTI I LEE Senior Director Revenue Cycle 844-969-0686 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2017-05-03 |
Last Update Date | 2023-12-28 |