| NPI | 1932397718 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | KEFAH DWABE C.E.O. 619-286-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2009-02-19 |