| NPI | 1518639756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MICHELLE RACHUY Owner 641-316-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2024-03-29 |