| NPI | 1699249524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN JAMES CEO And Chairman Of The Board 567-316-7253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |