| NPI | 1083461974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTIN NGNABEUYE Owner 917-916-2842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 177F00000X Lodging |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2026-05-07 |