NPI | 1558253153 |
---|---|
Entity Type | Organization |
Authorized Contact | KELECHI AGUGUO CEO 443-791-0678 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation |
Enumeration Date | 2025-07-17 |
Last Update Date | 2025-07-18 |