| NPI | 1740946003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKIA DENIESE WILLIAMS CEO/Owner 501-613-7559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251S00000X | |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2021-11-11 |