| NPI | 1528887551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL W KNAIN Executive Director 251-241-0905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |