| NPI | 1942152376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HENRY HARDY Physician/Managing Member 971-804-1906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Enumeration Date | 2026-02-10 |
| Last Update Date | 2026-02-10 |