NPI | 1891401048 |
---|---|
Other Name | CASTLE ROCK |
Entity Type | Organization |
Authorized Contact | KRISTI I LEE Director Of Revenue 844-969-0686 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2023-01-30 |
Last Update Date | 2023-11-07 |