| NPI | 1336881606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MAINA President 667-334-0779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |