NPI | 1659903409 |
---|---|
Entity Type | Organization |
Authorized Contact | TENAYE HAILU Manager 918-740-6195 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-02-10 |
Last Update Date | 2020-02-10 |