NPI | 1619355351 |
---|---|
Doing Business As | PREVEA HEALTH |
Entity Type | Organization |
Authorized Contact | PATRICIA ALLEN Chief Financial Officer 920-496-4700 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QA0401X Family Medicine Addiction Medicine |
Enumeration Date | 2015-05-14 |
Last Update Date | 2022-01-13 |