| NPI | 1356588339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH NEWTON President 800-232-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 208D00000X General Practice | |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-02-24 |