| NPI | 1467759985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN CHUKWUNONSO MOZIE Medical Director/President 731-334-9011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NC 2010-01876) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |