| NPI | 1568062750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONISHA MONIQUE HARRISON Owner/Primary Provider 567-343-1446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2024-03-28 |