| NPI | 1306126545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARIFI OPARE-ADDO Owner/President 573-452-3435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 01064038A) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |