| NPI | 1710114293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA SOLIPACA CEO/ Administrator 267-419-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2025-04-16 |