| NPI | 1396149902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA BARTEL Manager 909-816-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center Infusion Therapy (Licence: CA G37096) |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service (Licence: CA G37096) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |