| NPI | 1902107030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MILLS President 845-807-1621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL RL10003739) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |