| NPI | 1730698622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET PELMORE CEO 833-432-5987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2017-09-24 |
| Last Update Date | 2021-04-01 |