Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student Health |
261QS1000X |
| NPI Number | 1972155422 |
| LBN Legal business name | CONGENIAL HEALTHCARE, LLC |
| Authorized official | LISA ENDERLE - (ENROLLMENT MANAGER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 07/15/2019 |
| Last updated | 07/17/2019 - About 7 years ago |
| Identifiers | n/a |
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