| NPI | 1750050803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKIA DENIESE WILLIAMS CEO/Owner 501-613-7559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-09-12 |
| Last Update Date | 2022-12-21 |