| NPI | 1538475017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAPHAEL G LOUTOBY CEO 340-642-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VI 1620) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2010-08-23 |