| NPI | 1952995466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LAREAUX Medical Director 855-362-9773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 261QX0100X Clinic/Center Occupational Medicine |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2024-07-16 |