| NPI | 1366225914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMATOU ISMAILA President 800-299-6540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-17 |