| NPI | 1730827882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALEXANDER CLARINDA President, Secretary, Treasurer 787-940-4366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-06-08 |