| NPI | 1740878420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED NAQVI Authorized Member 251-901-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2026-05-14 |