| NPI | 1811599889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE SOLOMON Family Nurse Practitioner 877-345-2787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2022-07-20 |