| NPI | 1144963273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIKA GALEGA-SABUM Co Owner 346-857-4883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-04-17 |
| Last Update Date | 2025-03-26 |