| NPI | 1174235790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER UANGBAOJE Owner 469-251-0377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2022-12-14 |