| NPI | 1649515065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARIANTRA REE KALI CEO 541-221-3282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR ACU150532) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2014-03-27 |