| NPI | 1780075523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA LEWIS Administrative Director 866-445-1015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |