| NPI | 1366640021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EKENE IFEANYI OKOLO Intern Physician 210-287-0347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: AZ 81955) |
| Enumeration Date | 2007-07-04 |
| Last Update Date | 2020-08-22 |