| NPI | 1467261172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKILI BANJO-YEBOAH President 833-221-4169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-01-07 |