NPI | 1396542353 |
---|---|
Entity Type | Organization |
Authorized Contact | LILIAN ADHIAMBO CEO 747-356-1555 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
261QH0100X Clinic/Center, Health Services | |
Enumeration Date | 2025-02-27 |
Last Update Date | 2025-02-27 |