| NPI | 1447604376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA IFEYINWA OKOYE Managing Member 704-360-8893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2022-10-11 |