| NPI | 1306219837 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ABRAHAM CHUKWU President 800-859-3119  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine | 
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | 
| 2083S0010X Preventive Medicine, Sports Medicine | |
| Enumeration Date | 2015-11-05 | 
| Last Update Date | 2015-11-17 |