| NPI | 1396534665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FORREST HARDING Cmo 855-291-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| Enumeration Date | 2025-05-03 |
| Last Update Date | 2025-05-03 |