| NPI | 1750188678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURYN RIVERS Health Education Specialist 888-720-7567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 405300000X Prevention Professional |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2026-02-27 |