| NPI | 1669585337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEETU SINGH Director / Owner 386-774-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2025-01-23 |