NPI | 1871781146 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA D HENSLEY CEO 239-390-9933 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME79598) |
Enumeration Date | 2007-10-11 |
Last Update Date | 2007-10-11 |