| NPI | 1366739526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA JENKINS JENKINS Assisant Manager 866-931-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health (Licence: KY 3006462) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |