| NPI | 1831801992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN SYLVESTRE AYISSI ESSONO Doctor 445-544-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QP2400X Clinic/Center, Prison Health |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2022-12-20 |