| NPI | 1407654510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER M ODAIBO Administrator 346-200-9426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251J00000X Nursing Care | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2026-02-09 |