| NPI | 1154636306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND TAIWO ADEDAPO CEO 203-918-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX N4879) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2018-07-30 |