| NPI | 1770961187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA SOWARDS Director Of Nursing Resources 888-909-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |