NPI | 1669898532 |
---|---|
Entity Type | Organization |
Authorized Contact | FORTUNATE E OVBIAGELE Owner 334-356-5931 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AL 22241) |
Enumeration Date | 2014-03-14 |
Last Update Date | 2014-03-14 |