| NPI | 1487932893 |
|---|---|
| Former Name | EMMANUEL ADE EPIE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ bh3872) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2019-09-30 |