| NPI | 1164318820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANULI NWAIFE MKPARU Owner 215-608-8937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2025-06-17 |