NPI | 1831344183 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA STANTON-DEENER Nurse Practitioner 844-373-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2008-11-27 |
Last Update Date | 2023-03-20 |