| NPI | 1437923059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIA JONES Operations Project COO Rdinator 864-501-0751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |