| NPI | 1841792538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN BACHVAROV GELLY Owner 770-422-0517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2023-03-09 |