| NPI | 1104178409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGBEWE GODPOWER OKOROBA CEO 646-528-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: GA 63508) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |