| NPI | 1952044968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY BEYER Nurse P Ractitioner, Owner 701-201-0636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2025-01-17 |