| NPI | 1336937093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO NEIL LIGON President 888-433-9360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-10-07 |