| NPI | 1619631363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL VELAZCO ARIZA Owner 646-173-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2021-10-28 |