| NPI | 1609179563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACEY DINH Revenue Cycle Manager Of Abs 5202-580-3226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2015-12-21 |