| NPI | 1245939461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELCHISEDECK UWUMWANI Owner 872-235-5424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-02-27 |