| NPI | 1659244564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE NUGENT- NUGENT-GYESIE Director 667-392-0170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-26 |
| Last Update Date | 2026-02-08 |