| NPI | 1780863506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM FOGARTY President 800-232-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2010-01-28 |