| NPI | 1992121867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN JAROSCAK Chief Financial Officer 424-279-9481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |