| NPI | 1316503154 |
|---|---|
| Doing Business As | ANGEL CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | FRANCES IGIEBOR Administrator 888-982-6435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-06-11 |