| NPI | 1013763747 |
|---|---|
| Former Legal Business Name | OGANJJA |
| Entity Type | Organization |
| Authorized Contact | MERIERE IZOBO Owner 619-770-5120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-04-24 |