| NPI | 1366141848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ENRIQUE JIMENEZ POZO CEO 725-247-4519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2024-09-03 |