| NPI | 1215588629 |
|---|---|
| Doing Business As | MONAMI GROUP HOME LLC |
| Entity Type | Organization |
| Authorized Contact | SALIM OTIENO ODIERO C.E.O 480-380-4413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2020-06-10 |