| NPI | 1821377540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL RAYMOND President & CEO 424-237-2349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA 20A9891) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2012-12-31 |