| 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 | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-12-11 |
| Last Update Date | 2024-12-05 |