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 Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-05-16 |
Last Update Date | 2019-06-11 |