| NPI | 1487331757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UWA IGWE-KALU Director 408-618-1284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2024-04-26 |