| NPI | 1922582196 |
|---|---|
| Doing Business As | SPECTRUM HEALTH MEDICAL GROUP |
| Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST INTENSIVE FEEDING |
| Entity Type | Organization |
| Authorized Contact | RYAN CATIGNANI VP Finance 947-522-0008 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2023-10-26 |