| NPI | 1942560123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN SPERLING Chief Medical Director 855-577-6782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |