| NPI | 1740288679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MCGUIRE Financial Director 251-460-5280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AL 5989) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2019-11-14 |