| NPI | 1114691789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIOMA MORONU Owner 682-200-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-06 |