| NPI | 1588442438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL DARLING AYOMANOR Owner 623-999-0851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-10-04 |