| NPI | 1851043467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEEANNE JUSTIN BITUIN Managing Member 725-772-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2024-10-25 |