NPI | 1568422590 |
---|---|
Entity Type | Organization |
Authorized Contact | DARRYL L. STROMBERG V.P. Operations 866-367-3798 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2006-03-24 |
Last Update Date | 2020-08-22 |