| NPI | 1518742204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE PATINO Director Of Development 833-626-8724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2024-11-14 |