| NPI | 1194324533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONYEBUCHI OGBO CEO 339-502-0871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2023-09-18 |