NPI | 1689121766 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD WILLIAMS Owner/President 877-500-0044 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA MT006947) |
Enumeration Date | 2016-09-06 |
Last Update Date | 2016-09-06 |