| NPI | 1356298574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONYEBUCHI NELSON CHIAKPO Owner 214-200-5755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-03-16 |
| Last Update Date | 2026-05-04 |