| NPI | 1477325413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHONNIUSS CHEMWENO Tpa CEO 212-261-6542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 251E00000X Home Health | |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |