NPI | 1871995357 |
---|---|
Former Legal Business Name | NONE APPLICABLE |
Entity Type | Organization |
Authorized Contact | JASON CARAMANIS Owner 818-512-1991 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal |
Enumeration Date | 2014-09-16 |
Last Update Date | 2014-09-16 |