| NPI | 1629659701 |
|---|---|
| Doing Business As | ESSENTIAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | WALLY JOSEPH Owner 725-241-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2024-06-08 |