NPI | 1770071011 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH SNOW Owner 574-229-4177 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL CH11998) |
Enumeration Date | 2018-04-23 |
Last Update Date | 2018-04-23 |