| NPI | 1649639576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMMITRA BROWN Owner/Founder 347-455-8439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME38107) |
| Enumeration Date | 2016-02-20 |
| Last Update Date | 2016-02-20 |