| NPI | 1588859953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AWAWU E IGBINADOLOR President 704-219-2147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NC 200001486832) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |