| NPI | 1659720381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAQIB J MALIK Director Information Technology 551-689-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |