| NPI | 1972535086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERREL ANN STEPHENS Chief Operating Officer 541-504-6315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-10-15 |