| NPI | 1841560059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEMAINE DIANE OWEN Manager/Member 340-692-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VI 2-14663-1L) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2019-05-16 |