| NPI | 1063896009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GANIYU KASUMU Administrator 770-997-8949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 031-R-0047) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |