| NPI | 1598902363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSES SHEKU MOMOH COO Rdinator 315-601-3152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 759787) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |