| NPI | 1134888621 |
|---|---|
| Other Name | FAMILY WELLNESS CLINIC AND URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | KAYODE BALOGUN CEO 862-216-2617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2021-12-11 |
| Last Update Date | 2025-01-10 |