| NPI | 1619428273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIUS HEARN CEO 872-203-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 2487457) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |