| NPI | 1780996223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA M LALOR Director/Delegated Official 629-215-3953 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2021-04-28 |