| NPI | 1568209310 |
|---|---|
| Doing Business As | VIDA HEALTHCARE LLC |
| Entity Type | Organization |
| Authorized Contact | ISAAC O FADEYIBI CEO 443-627-3104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-10 |