| 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 | 2020-05-01 |