| NPI | 1528641214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUKWUUEMEKA CHIDEBELU-EZE Co Founder 404-671-9564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR1100X Clinic/Center, Research |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| 335G00000X Medical Foods Supplier | |
| 261QC1500X Clinic/Center, Community Health | |
| 251V00000X Voluntary or Charitable | |
| 261QE0002X Clinic/Center, Emergency Care | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QC0050X Clinic/Center, Critical Access Hospital | |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-04-30 |