| NPI | 1811374283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GOVOSTES President 800-643-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health (Licence: MA 1939) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |