| NPI | 1407566219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB KNOTTS CEO/President 888-725-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2023-07-07 |