| NPI | 1376239277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAHAN OGANESYAN COO 833-224-5538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202D00000X Integrative Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QD0000X Clinic/Center, Dental | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-04-21 |