| NPI | 1932656253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO PEZZOTTI President 939-969-2068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| 261QR1300X Clinic/Center Rural Health | |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |