NPI | 1922763952 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN FERRIS President And CEO 802-876-2301 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2021-11-04 |
Last Update Date | 2021-11-04 |