| NPI | 1326246695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN E SLOAN Owner 883-723-4328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC SC9366) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2011-11-28 |