| NPI | 1346186350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JOHNSON Director 833-649-4643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156F00000X Technician/Technologist |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261Q00000X Clinic/Center | |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2026-04-24 |
| Last Update Date | 2026-04-24 |