| NPI | 1831159623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL L. STROMBERT V.P. Operations 866-367-3798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-08-22 |