| NPI | 1548769656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY C. L. BOWDEN CEO 857-242-1139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: KS 40088) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IN 28340) |
| Enumeration Date | 2018-02-04 |
| Last Update Date | 2018-02-04 |