| NPI | 1972065043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN S SHAPIRO Managing Member 844-442-9482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2024-02-01 |