| NPI | 1023882511 |
|---|---|
| Doing Business As | VITALITY PUBLIC HEALTH |
| Entity Type | Organization |
| Authorized Contact | MOHAMED BURRHAN AFMEGED Program Sponsor 380-895-4698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |