| NPI | 1316205123 |
|---|---|
| Doing Business As | UGA STREET CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN NWOYE President/CEO 813-248-1621 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC009401) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |