| NPI | 1316817133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI EVANS Director 833-498-4296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 207V00000X Obstetrics & Gynecology | |
| 101200000X Drama Therapist | |
| 111N00000X Chiropractor | |
| 374U00000X Home Health Aide | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 208M00000X Hospitalist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2025-11-06 |
| Last Update Date | 2025-12-17 |