| NPI | 1275549594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFUEKO BELINDA OKUNDAYE President 920-727-4946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WI 37832) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2013-05-17 |