| NPI | 1710334503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C ODIBO Founder & President 973-727-7409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 2015-01360) |
| Enumeration Date | 2016-05-21 |
| Last Update Date | 2023-04-12 |