| NPI | 1922614783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL MCFARLAN CEO/Owner 346-237-0295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |