| NPI | 1891223921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILL MCNEAL CEO 866-673-6773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 111N00000X Chiropractor | |
| 207N00000X Dermatology | |
| 207Q00000X Family Medicine | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2017-06-02 |