| NPI | 1841845369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA L ACRI Medical Director 267-217-3217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2022-11-16 |