| NPI | 1679056857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDA PANTALEON SEERAJ CEO/Owner 844-937-4731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2021-09-04 |