| NPI | 1538548391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDULLAHI ISA MUBARAK Owner 937-701-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OH 35051593) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |