| NPI | 1063188076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE NGWA Administrator 945-399-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2026-06-28 |