| NPI | 1457295362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKS HEMINGER Director 877-416-7174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171W00000X Contractor | |
| 207P00000X Emergency Medicine | |
| Enumeration Date | 2026-04-20 |
| Last Update Date | 2026-04-20 |