| NPI | 1518771575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE W MBUGUA Owner 936-202-2923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-01 |
| Last Update Date | 2025-03-20 |