| NPI | 1104711845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED MUSE Owner 619-416-8778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |