| NPI | 1093050940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWAYEMISI AGBOOLA Owner 267-872-9756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX 798898) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |