| NPI | 1700501442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE ROSE ACHILLE Phleboto MIS T/Owner 267-997-3282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-13 |