NPI | 1902386089 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA SCHOTT CEO 320-200-7574 |
Organization Subpart ? | No |
Primary Taxonomy | 251K00000X Public Health or Welfare |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2018-08-17 |
Last Update Date | 2018-08-17 |