NPI | 1164935169 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTINS A ADEOYE CEO 331-330-9955 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036103889) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2017-11-13 |
Last Update Date | 2024-10-22 |