NPI | 1619546124 |
---|---|
Entity Type | Organization |
Authorized Contact | IVELISSE SABATER President/Co Founder 401-327-2442 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2021-06-19 |
Last Update Date | 2021-06-19 |