| NPI | 1518191394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIUS DAVIS CEO 877-695-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX L7349) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2009-05-08 |