| NPI | 1861641508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAHRAM KAM HABIBI Medical Director 945-742-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2010-07-06 |