| NPI | 1194699314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELUOLISA OKONKWO Administrator 331-305-5843 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-01 |