| NPI | 1538036371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RADCLIFFE Owner 888-987-1489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2025-10-17 |