| NPI | 1770942104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATRISHA LASHAWN WASHINGTON-JACKSON Clinical Director Of Nursing 1844-377-2946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |