| NPI | 1508573676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA L NGUYEN CEO 725-264-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2026-05-11 |