| NPI | 1235907478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA PATRICIA BALINDA-KAMANYIRE Member 800-309-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2025-02-12 |