| NPI | 1376917344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVGENIA KORYTNAYA CEO 267-324-8862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036.138259) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |