| NPI | 1376933788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIC MCGARRITY-DAVIS CEO 888-958-0454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0032610) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2024-05-20 |