| NPI | 1881756211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY ARRAY HOLLAR President 2522-220-1095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NC 112476) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |