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 |