| NPI | 1316557358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS ANTHONY LEWANDOWSKI President & CEO 442-234-2966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |