| NPI | 1154330348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA ANDREA BROWN President 772-618-3133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 057439) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |