| NPI | 1336466093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE AREAUX VP Finance 251-460-5219 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AL 890066) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2019-12-11 |