| NPI | 1508528076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA NEOLA CAMBRIDGE-PHILLIP Physician/Wellness Coach 917-601-7728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-10-12 |