| NPI | 1104635945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAHEED A JALADE Pmhnp 347-406-0853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-19 |