| NPI | 1942088638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BERTRAND GATTE CEO 888-424-6228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-12-26 |