| NPI | 1417369570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM NELSON VP Of Finance 866-904-7721 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2017-03-27 |