| NPI | 1376067215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCY ABIDOYE-FAKOYA Fnp 832-999-4306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 133N00000X Nutritionist |
| 174H00000X Health Educator | |
| 208D00000X General Practice | |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |