| NPI | 1477393817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEARL KAMUKAMA KABATETSI Authorized Official 747-246-9458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-05-31 |