NPI | 1346552841 |
---|---|
Entity Type | Organization |
Authorized Contact | BROOKE SPILLANCE Account Manager 800-550-9212 |
Organization Subpart ? | No |
Primary Taxonomy | 251X00000X Supports Brokerage |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
Enumeration Date | 2010-07-13 |
Last Update Date | 2010-07-13 |